SELENE BONNELL-HALL

PLUMMER, ID
NPI1639542830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-4116)
Enumeration Date2015-11-10
Last Update Date2015-11-10
Business Address
-- SELENE BONNELL-HALL
1100 A STREET
PLUMMER, ID 83851
Phone number: 208-686-7041
Mailing Address
-- SELENE BONNELL-HALL
1765 FAIRFIELD RD
PLUMMER, ID 83851-9517
Phone number: 208-686-0688
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